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NPI Code Detail

MEDICARE: DR. JENNI LEE HARSHBARGER PH.D.

MEDICARE: DR. JENNI LEE HARSHBARGER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1082SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11082OTHERSCSTATE LICENSE FOR PRACTICING PSYCHOLOGY

General Provider Information

NPI Number : 1427385350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNI LEE HARSHBARGER PH.D.
Provider Business Mailing Address
First Line : 100 S MAIN ST STE 505
Second Line :
City : WICHITA
State : KS
Zip : 67202-3738
Country : US
Telephone Number : 316-688-8390
Fax Number : 315-867-1718
Provider Business Practice Location Address
First Line : 100 S MAIN ST STE 505
Second Line :
City : WICHITA
State : KS
Zip : 67202-3738
Country : US
Telephone Number : 316-688-8390
Fax Number : 316-867-1718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2009
Last Update Date : 12/10/2024

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